Four Fountains Convalescent Center

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

0030304 Issued in IL

Legal business name

FOUR FOUNTAINS CONVALESCENT CENTER

Practice address

101 S Belt W
Belleville, IL 62220-2503

Phone

(618) 277-7700

Fax

(618) 355-4050

NPI assigned

Sep 6, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Hope A McNitt, R.N. L.N.H.A.

Title

Licensed Nursing Home Administrator

Phone

(618) 277-7700

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1366436453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S BELT W",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202503",
            "telephone_number": "618-277-7700",
            "fax_number": "618-355-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S BELT W",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202503",
            "telephone_number": "618-277-7700",
            "fax_number": "618-355-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR FOUNTAINS CONVALESCENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "MCNITT",
        "authorized_official_first_name": "HOPE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "618-277-7700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N.  L.N.H.A."
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nursing Home Administrator",
            "state": "IL",
            "license": "0030304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foot Surgery Center LLC
• Footbridge Counseling and Supervision
• Beneranda Sophia Ford-Glanton, M.D.
• Rodney Dean Ford Jr., ATC
• Forrest and Associates PLLC
• Kathleen K Fournier, MD
• Milana Nichelle Foxworth
• Carter Leroy Frank, M.A., L.C.P.C.
• Charles Joseph Franke III, L.C.S.W.
• Sheridan Latrice Franklin

• Nursing Home Administrator in Belleville, IL
• Providers in Belleville, IL by specialty
• Nursing Home Administrator in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.